Keeping my patient's dignity intact? Please help me!! (long but urgent)

Specialties Private Duty

Published

I am nurse and caretaker to a partially mute male, 14 years old. He has failure throughout his body, including problems with digestive and nervous and vital systems, and I must tend to him.

He has good skills and intelligent and mentally independent. He can do and enjoys doing puzzles or hand activities, but can only do so much due to low coordination. He understands language and he can make noises that resemble words, however does not speak much. He prefers to make sounds or be silent.

I massage his belly to bring about eructation (burps) and flatulence and to improve digestion. I also massage him daily to help with digestion and circulation and to soothe him.

I handle hygiene and intimacy. I give him physicals or check ups once a week. I bathe and groom him regularly and take good care of his skin. I diaper him since he dislikes bed pans or catheters. Not to mention he does have sexual insecurity, even with puberty, so it is even worse on that part. I occasionally administer enemas or laxatives also.

We've agreed that it is acceptable for me to spoonfeed him, since he has poor coordination. Often he can feed himself but requires assistanxe. Although I do respect him and I assure meals are satisfying.

I do talk to him kindly and considerably. I communicate with him and make sure I know what he needs or what he wants me to know, even though he has difficulty replying or talking. He cannot communicate easily but he is very intelligent and he has a very active mind. Even though his body cannot function correctly, his mind and feelings are still working fully. So I am concerned. He does enjoy the care. He likes massages and such. He knows he can trust me and that I can help and comfort him. He knows I will respect him and do what he needs.

However, things can be too overwhelming, like my "full control" or his overdependence. I feel as if I invade or put too much pressure on his will.

Please help me. How can I keep his dignity intact? How can I help him yet allow him to not feel like he nothing?

Specializes in Pediatric Private Duty; Camp Nursing.

Why can't you tell us where you are from? Is it somewhere in Micronesia? That's west of Hawai'i.

I can tell you where I'm from and residing. No problem with that.

However it is confidential and unrecorded in most public views. It may be undocumented for you guys of the US.

My nation is titled as Natiun nérby Kind, Nation of (by, for) Grace in terms and is officially named Brastroun.

Confidential land? Do you have YouTube there? You can find many videos to help you out.

Confidential land? Do you have YouTube there? You can find many videos to help you out.

We have social media however I'd actually prefer help and personal answers from higher educated nurses and many some with more experience.

I'm not understanding this. If you were trained as a caregiver why would these basic skills not have been taught to you? I looked up the name of your country and there is nothing listed anywhere for it. Why would a country be confidential as you say?

I don't mean to be rude but this whole thread sounds very strange to me.

?

Mc3

Specializes in HH, Peds, Rehab, Clinical.
I'm not understanding this. If you were trained as a caregiver why would these basic skills not have been taught to you? I looked up the name of your country and there is nothing listed anywhere for it. Why would a country be confidential as you say?

I don't mean to be rude but this whole thread sounds very strange to me.

?

Mc3

Im im confused as well, earlier on op stated she's a nurse, she looked things up and her training is equal to what nurses here receive. Time for me to just sit back and digest it all....

Why would a country be confidential as you say?

Mc3

I am not sure. We are just closed in I guess.

I think of it as the Bermuda Triangle. Have you heard about this? Well, our nation is like that. No one studies it and not many people reach here. As you would probably say, it is abridged (if I used that word correctly).

It is like China to us. We know of the USA and Canada and about the many other countries of Eurasia and Australia and the countries of South Americka. All but for Eurasian China. None of us have it on record. We recognized its existence 5 years ago.

I am mostly concerned about the "personal" care.

Anyone else have advice on the bathing and diapering and dressing? How I can help him with dignity at that point? Please?

I'm sorry...this whole post sounds fishy to me.............

mc3:bag:

Specializes in Trauma Surgical ICU.

For some reason I wanna call BS on this. This "nurse" has been with this pt for 7 months and has no idea how to bath, feed or change this pt?? Come on. What am I missing.

I'm sorry...this whole post sounds fishy to me.............

mc3:bag:

What do you mean?

And sorry, but what does fish do in the discussion?

I find it difficult to believe that you had medical training of some sort but do not know the answer to simple, basic care questions. You do not appear to be a nurse, or have any medical background from the questions you are asking. Who trained you??

The "fishy" reference means I think this is some kind of a joke. Sorry, but I do.

mc3:cat:

+ Add a Comment